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WK SHREVEPORT INTERNAL MEDICINE
NPI 1255018388
Internal Medicine in Shreveport, LA

Active since June 30, 2023CLIA 19D2294096 · Waiver
1449 E BERT KOUNS INDUSTRIAL LOOP STE 100, SHREVEPORT, LA 71105(318) 629-0220(318) 629-0230 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wk Shreveport Internal Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WK SHREVEPORT INTERNAL MEDICINE (NPI 1255018388) is a healthcare organization registered as an internal medicine in Shreveport, Louisiana and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through November 16, 2027 and lists Mary Jane Ward, Senior Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1255018388
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWK SHREVEPORT INTERNAL MEDICINE
Location Address1449 E BERT KOUNS INDUSTRIAL LOOP STE 100Shreveport, LA 71105-5680
Mailing Address1202 Louisiana AveShreveport, LA 71101-3910 · (318) 716-4939 · Fax (318) 716-4854
Phone(318) 629-0220
Fax(318) 629-0230
Organization SubpartNo
Authorized OfficialMary Jane WardSenior Vp Finance · (318) 716-4939
Enumeration DateJune 30, 2023
NPPES CertifiedJune 30, 2023
✔ NPI 1255018388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1449 E BERT KOUNS INDUSTRIAL LOOP STE 100, Shreveport, LA 71105
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wk Shreveport Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Wk Shreveport Internal Medicine, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Craig Miller, M.D.
Internal Medicine
NPI 1174590848
1449 E BERT KOUNS LOOP SUITE 100
Shreveport, LA 71105
(318) 629-0220
✔ PECOS✔ Accepts Medicare0.1 mi
Eric Smith, M.D.
Internal Medicine
NPI 1417910720
1449 E BERT KOUNS INDUSTRIAL LOOP SUITE 100
Shreveport, LA 71105
(318) 629-0220
✔ PECOS✔ Accepts Medicare0.1 mi
Lindsey Bradley, FNP-BC
Nurse Practitioner
NPI 1548002918
1811 E BERT KOUNS INDUSTRIAL LOOP STE 120
Shreveport, LA 71105
(318) 212-3738
✔ PECOS✔ Accepts Medicare1.0 mi
Mark Brown
Internal Medicine
NPI 1750344073
1811 E BERT KOUNS INDUSTRIAL LOOP STE 120
Shreveport, LA 71105
(318) 212-3738
✔ PECOS✔ Accepts Medicare1.0 mi
Summer Hanson
Nurse Practitioner
NPI 1487311023
2508 BERT KOUNS INDUSTRIAL LOOP STE 311
Shreveport, LA 71118
(318) 212-5764
✔ PECOS✔ Accepts Medicare5.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2294096

Wk Shreveport Internal Medicine · Shreveport, LA
Active · expires Nov 16, 2027
CLIA Number19D2294096
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2025
Certificate Expiration DateNovember 16, 2027
Laboratory DirectorMark A. Brown
Laboratory Phone(318) 212-3738
Laboratory LocationWk Shreveport Internal Medicine1811 E Bert Kouns, Suite 120, Shreveport, LA 71105
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wk Shreveport Internal Medicine's NPI number?

The NPI number for Wk Shreveport Internal Medicine is 1255018388. It was assigned to this organization in the NPPES registry on June 30, 2023.

Where is Wk Shreveport Internal Medicine located?

Wk Shreveport Internal Medicine is located at 1449 E Bert Kouns Industrial Loop Ste 100, Shreveport, LA 71105. The listed phone number is (318) 629-0220.

What is Wk Shreveport Internal Medicine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Wk Shreveport Internal Medicine enrolled in Medicare?

Yes. Wk Shreveport Internal Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wk Shreveport Internal Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Wk Shreveport Internal Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (3) and Nurse Practitioner (2). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wk Shreveport Internal Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2294096) is associated with this NPI, valid through November 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wk Shreveport Internal Medicine accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Wk Shreveport Internal Medicine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wk Shreveport Internal Medicine was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.